HomeMy WebLinkAbout2876 LA SALLE AVE - Building Permits City of Costa Mesa
Building Safety Department CERTIFICATE OF OCCUPANCY N° 1843 C
P. 0. Box 317
Costa Mesa, California -
The Building located at 2a76 LA.talto g AD
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a GroupOccupancy.
Use of Building ,.t%s . :.ux'ra. .,n :; o.y. c �- .,x..: >s --
Legal Description .• int 727 rflitORtSin
(See reverse side for Metes and Bounds)
Building Permit No. 7'1'36 Electrical Permit No. Paha Plumbing Permit No 3aa5
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C. —.
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency.
(b) A newcertificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof
•
2) The number of apartments or guest rooms -
3) Ownership -
If Group H Occupancy, number of apartments and/or guest rooms as. required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8.
Number of apartments and/or guest rooms
ISSUED TO: Building Official
t ^{tin Tatalita4 I6e'_ by —ye
Date Fcbru—r,• ny' 19E1
a —r —ice
• This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed
except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Form BUS4-1M-11-63-S-B P
•
" PR:aEDTaoDREss: 2876 LA SALLE AV UNIT:
CITY OF COSTA MESA- — BUILDING PERMIT PERM NO. D 959291
OWNER'S NAME:oa
LE JOHN .
ADDREss: NG{JYEN TUYET T PERMIT NO: B 054291 PLAN CHECK NO: • N GOVT. N .UPP., N •
2964 MILBRO ST •
COSTA MESA,CA 92626 CONSTRUCTION TYPE: _
PERMIT TYPE: STR PURPOSE: ALT
•
• 736-0225 •
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF REROOF W/CLASS A ASPHALT SHINGLES . SQ FT; 3,000 .
ADDRESS: • •
•UNIT: CLAIM VALUE: 3,000 .00 CALC—VALUE: 3,000 . 00 GROUP OCC: R-1 /
PERMITTEE: PRO—SPEC ROOFING • ( 714 )744-4541 - ,
ADDRESS:. 945 N. MAIN COMMENTS• SMOKE DETECTOR REQUIRED
• ORANGE CA 92667 LE*EE*****4******************iF*******************x*aE*******ir*******aE-*x*:EiE,********E
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G R•• E Q U I R E M E N •T S 1
700))of°toil yttr tininess and Prote56ie�slCpdel tit my license is in ftforcq�d effect. S E T H A C K S-
•
CITY LIC.: STATE LIC.: cu �'ss: l ] MAIN BUILDING ACCESSORY BUILDING •
0� /�7/ signature:_ FRNT: •
FT IN REAR: FT IN FRNT: FT IN REAR: FT' IN
WORKERS'COMPENSATION DDECCLLARATION; I hereby affirm that I have a senificate of consent to self-Insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: • FT IN
IBu/id
Compensation thL c py thereof(Section 3800, Lab.OS/01 /92 ' •
POLICY NO.: STATE FUND EXP.DATE: PARKING REQ: PROV: PARCEL: 14166222 ZNE: REF NO:
COMPANY: +y} PLANNING N TES>
❑ Cemhed copy is hereby furnished. IJ Certified copy is filed with city Building Divi n, >
—Pe)el' fi'" •I Applicant: DEVELOPMENT SERVICES REQUIREMENTS
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Thi section need not be completed if the perm r one hundred(8100)or less). ,
I certify that in the performance of the work for which this permit is issued,I shall not employ any person any manner so as to become ZONING APPROVED BY DATE:
subject to the Workers'Compensation Laws of California. • -
Date: Signature: • BUILDING APPROVED BY : - , • . DATE: .
NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor •
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICATION ISSUED BY: ** — DATE; lJ— ?—p/ •
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for *.*.*.**********************,
which this permit is issued(Section 3097.Civ.C). ************************************* *******************************-*******
LENDER' LEGALIZATION:N -F E E SUMMARY . STRUCTURAL SEGMENT:Y
ADDRESS:
' BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason PERMIT' 54 . 00 50
(Section 7031.5 Business and Professional Code' Any city of county which requires a permit to construct,alter,improve,demolish,or -• SM I P/NON—RES
•
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed , •
pursuant to the provisions of the Contractors'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN wi
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as•their sole compensation, wit do the work, and the TOTALS----> 54 . 50 0 . 00 0. 00 54 : 50 ' :54;•,50 ' . 00
.❑ structure is not inlended or offered for sale(Section 7044,Business and Professional Code: the Contractors'State License Law ' .._ ....,_.
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through REVENUE- DIVISION TOTALS--> COLLECTED• 54• 50 OVER LSHORT::' • •
00
his or her own employees,'provided that such improvements are not intended or offered for sale.If,however the building or •
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMB ING ELECTRIC MECHANIC F IRE SMIP/TOT ' ;GR_AD;NG PLAN—CHECK
for the purpose of sale). 54 . 00 . 50 •r' '•
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business "r •: /
❑ and Professions Code: TheContractors'Stale License Law does not apply to an owner of property who builds or improves thereon **************************************************************************BE****
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware I N D I V I D U A L F E E B R E A K D O W 714that proof of their Worker's Compensation insurance should be provided to me. • r,t ..
❑ I am exempt under sermon:. B.s P.C. TYPE QTY D E S C R I 'P T I O N UNIT COST C:':7 TOTAL COST
for this reason: . . -v,• •
Date: Owner: SFR 3000 REROOF BY VALUE RESIDENTIAL NOZONE , 1 .00:' , -4. 3, 000 . 00
•I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES ,
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a - 1 •
permit tar construction or modification from the Air Quality Management District.Residential construction applications are exempt from E x P I P - 7
these provisions. .:ons
Incomplete i;.,; , .:: .
Dale; Applicant: v
I hereby certify that have read this application and state that the above information is correct, agree to comply with all city and county //1q �� SIS ,_�__��
ordinances and state laws relating to building construction and hereby horixe representatives of this city to enter upon the above.mentioned I •
Gate ®•�,—.-
• property for inspection/�pur9osees, y •
• {/ -
•
ale: __/ _ •( Signature' `" \ CO tj tO9i`•'g • '(j00??,a40 Tri. ' - -
• DATE t0/(rti9A Tli1=' tti:Et;`
Driver's License or Social Security n: t -
. 1641-46 While—Building:Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor -
CONSTRUCTION AND PLANNING ) POOL & SPA
1 APPROVALS Permit # - ,Gate Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Servic4or Pole , - 52. Pool & Equipment Location 0
4 Cl' L1 i}
2. Soil Pipe-Undrgrnd. ro �� I 53.•Steel Reinforcement - _
,!y
et 3? E ect}ical CodultJti lily-U idrgr jdtl f 54. Forms
).•34n Electrical Conduit:Undrgrnd� i' • 55. Electrical Bonding -
Sa^5.`St:cqetteinforcement •
r� Si56. Rough Plumbing Pressure Test - S
W.:‘:. .l. >:
t3 6 ttlettrical UFER-Grnd. - - 57. APPROVAL TO COVER-GUNITE
7'.' Footings - - 'L 58. Electrical Conduit-Undrgrnd. /�-
'
8./Foundation c ,D I / - 59. Gas Pipe, 0 Undrgrnd., Test ��t,x'
.'' 9. Water Pipe-Undrgrnd. ` / _ 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 'w
?
10. Structural Floor System • h y G 61. APPROVALTO DECK I -
11. Property Sewer Line & I-$ouse'CoElection r - 62. Backwash & Receptor-Final lj
12. Serer Cap c 1�- ./ 63. Heater & Vent-Final
13. Roof Drains I'D -.14''�u• t'' 64. Plumbing System -- Final f
14. Rough PIuml ng �I ��`'7 65.-Electrical-Final • r
15. Rough Electrical-Conduit \ �'r� 66. Solar System-Final ;.
16. Rough ElectriWiring 67. Fencing & Access Approval •
1 .
17. Rough Wiring:.Sign 68. APPROVED FOR PLASTERING i
18. Rough Electrreal-T Bar Ceiling T 69. POOL/SPASYSTEMS FINAL 1 •
• 19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT '
�;-,. t- t --tot- cR s • Cu
2W RSugh.FactoryiEireplace : .-...u1 <-1 0 7+s a it APPROVAESDO Permit# r c. it
it , . rr r s'... r 1;r :ra. t. .S_ i 4 tr* 34 r [z; c n:1-4 t.-: :. ;T CC
21' D• Lticts a4n SV uctTae I :-.F 7....S r
; tr t-: ,2 7 SS ' ty
: '- 70.1-Unoergcgund Hydro ztr
•
.. D
22. Ducts e/eritilating. t iJS e :5 v',: :K r 71.E ProddctXiciin t@JSas f]Oil
,... is ! tC is C •-+.* * r; CC
231 Gas Pipe-R�ugh'Sl.Test [. S 1, l,3 1- K Cy. * 72. UndefUround F7usn) 1 .� p
24? Roof Framing Zr I F-: ••7:1 t ^ 0 :- •1 :, 7g! Undergrad.StorareTank OGas O;Dil
r±y n, -. roc
25. R-" f Sheathin ''�' > [U tr! `T! '3 on ;S ' F- c) a.
gA 9r,: v1, v v ri ;, toil. x 7;5,nOverhea'd HydEe s
. t , -" .. ,,� ..
2`6", t• itter Ceiling (SIIuctural) r6tiMo ocoat a ;7 t�+ -r: 75 Dry Chemical t: - •� u
2 Frame and Flasl,m '' i° x ' '� ''^ CE +: S ['1 r�
�i: r;*g .::�^tX t„ ;.. ui* . 76.-Dry S[a^dpipe_-w T ^_
i.i 28. Lathing&:Siding..: i Ep.- .... .� r r. ••�c .t 7� FIXED,SYSTEYN:FINA'L� it
:r r xt0 r-i •- '• :> r• tn I •4. ;k r L:.
29. Insulation I T. 7 FIRE PR EV. F,IMAL r ?
rrl R .I. W
: . 30. Drywall Nafingr.r r I elx r2: H ,-iHEALTH DEPT. REQUIREMENT
U- le �,•
CI 31. Plaste Brown colt 1 ; t -0. ,,, 79 FINAL1N.SPECFJON ° - ' II 'i
(r . . I m'r t �. ti: [r • I„s,J �.
p. 32: Electrical PowetMever-Final ru 124 .r" tr 80; FOOD CERTIFICATE ISSUED
33: Finnal Electric x ! ry L t'' I i �_t' * I` NEtes 7>_ !^• m
-> ,:1 i i > * tr t .2 .IK v •7 `n! + 7 0 [UM m
:3 34-, FiVI nal Heating & Air Conditioniflq Ci I I - ti a s ntk * c 0 _ 1
7C
35-1s Final Gas PSpe-Teat •.•h+ I I 3. t** :r n :1:0 MS a 4r �"
t 7 36: Hind or Canon,/ ; Cr': L. Ci I b• Y Z �' �c tr err :a t
r
Pi 3P Final Eictory FirdplaCe I -ti.'' o r 31I It :i > CI * N _ '.:3
'^ , - - 1 I * x
,
t 38. Fn al umbing zt.; .n oN
{r is ;l IL/Ir :i'. LI"
C; 39. Water Service-Final i I ,3 I
I! 40. Gas Seivicaginal,; -n < rt.- S :On. ru o * "' "i `v
f •
,: 41. Solar Domestic-Filial: ^ - t - l I h Y. �v *
i-• n rt ,n 1 :# X: t:- 11.0 r * ;Y .0 a .
-+ . - LI/ T A
• 42: B• ack ¢w Preventer'' IL?...; eO I prb u+ .
•
• •
43. Backflow liigatid`n u;-':5 r :r .t
tzt-o t. O --.
t' :gig .+. T r :.E X P kR.E O -
, . 44. Lands epe4rrigatton Systeiprr u; + in 0 03-. * IX PS N
, 451 Sound Attenuation 1-•i&1 tr L >; t- t. F•* :. t I-- ,-i r i�.- a. -
r r-! 4 ,n t'1 1arr 5 :- C K .,fit^ '
c• 46: Handicap Fjegulations •-, p r. *' • a b; •,g L ` - - Y
47: FINAL STRUCTURE& UILDING. u i I /- hV :• i: c-off -r
1 r rT' t - r, r- I IT :t. .. * :-• :j.
46. FI�JAL PLANNING ; tr
rE r n; I 1.: k r it •1 J
..
c 49: Electric-Release to Edison i
+ I ' I` * > d: 1 :r o
•.. .. .. 'V - 'r rr vi x C.
c * i j k.: x. H r, , cin w C, •
� 50; Gas Release to Sothern California Gas Co K I :. ; ,
:. 51. CERTIFICATE OF OCCUPANCY l , - i tqp R i-. a
No.- -- - Date
I983s FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT ��nr1��
P.O.BOX 917 COSTA MESA,CALIFORNIA MIN 1 0
Fl CE DEPT,
For Applicant to Fill In Completely CITY uC{���Qlhl Iii•i. ,'ERMIT
TYPE OR•PRINT
y dl(b
BUILDING
2t376 Le. Salle Ave. For Office Use Only .
ADDRESS Ent. l2 Tina rt Sol1
RECEIPT No. I yAT�SPF8
COSTA MESA, CALIFORNIA �l�J/JJ��aas�'.�((�I
•
REC[IV6p'BY DATE Rier 3 eU T/Ike �Ptyc^
OWNER HYCROFT TERRACE TNC. //�r� //_ (O N{m 1 8 VJ
BUILDING
MAIL ADDRESS
ADDRESS 250 E. 17th St., -Suite G
FIRE
CITY Costa. Mesa_ ND. /�
TE .646-9347 �](.V ZONE TYPE jt GROUP hi /
APPROVED
ARCHITECT OR ENGINEER Char)PS_t. Hiller No'PR 52007 BY DATE
ZONING '(�!—,
ADDRESS 925 Suite $, N. Euclid, Anh. ZONA, NO.OP I USE OF NEW {�Id;/a,l,l�
f���I PLANS ,1 J.
BUILDING I�.�/�l'1--.., ,w_(f/,L ,
CONTRACTOR SRTIIP """��I /lam .L `XJ Y/
CR 11. 0 T V)_ iZ .S (0
DESCRIPTION
ADDRESS Same
CITY Same -' A.P.NO.
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LIC
STA.NOTE . 82160 TEL.
NO. Same SO'TO SIDE 8 REAR P.L.
-
61Zp p EAVES
OF LEOT 82.83 1 x 107.941 I NOW FOLOTS ALLOWED (U.B.C.REQUIREMENT)
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET)
SETBACK LINE FROM .I.4O,' l0I FRONT q_L'� FT. FT.
CENTER OP STREET • REAR YARD
SIDE YARD I LEFT 15 1 I'RIGHT ' 5' R.BIDE •S FT. F7.
DESCRIPTION OF WORK L.SIDE /.CET. FT. R
NEW X ALTERATION ADDITION
REAR ' i OFT. FT.' I':I
DISTANCE BET. BET.MAIN 8 4 7
REPAIR MOVING DEMOLISH MAIN BLDG$. ACCESS.BLDGS. I
VAR.* DATE `)
BUILDING OP
SIZE '551 x 731 ROOMS STORIES 2 C.U.P. APPROVEDC.
I.
EXTERIOR WALL ROOF APPROVE t C.
COVERING sturN) I COVERING shake BY - DATE J � l _ 63
USE OF BUILDING AND WORK T BEP RF ED \ � •
An+ (4 n1Px)/ .i1�. ( t;
/ 1
C.
C.
..I) 1 so.F r. V J/O�p N CC
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ''THE AMOUNT SHOWN UNDER VALUATION IS FOR THE £ LL
AND STATE THAT THE ABOVE Is CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION /AJ m C'
BUILDING CONSTRUCTION. PERMIT FEE $MC Lr✓ Q
SIGNATURE OF HYCROFT TERRACE, INC:. / �j//1' F
PERMITTEE $ ./ 3/41-6 PLAN CHECK $ a � � G
AUTHORIZED AGENT . J - //y [�'E
�► .n TOTAL FEE $//51#a1.